Unit 6 ATI Practice

A nurse is caring for a client who starts to experience a seizure while sitting in a chair. Which of the following actions should the nurse take? A. Place a padded tongue blade in the client's mouth B. Lower the client to the floor and place a pad under the client's head C. Seek the help of a coworker and life the client back into bed D. Use oropharyngeal airway to keep the upper airway passages open

B. Lower the client to the floor and place a pad under the client's head

A nurse is assessing a client who reports vision loss. The client describes the loser as beginning with a "flash" of light followed by a "curtain" across the field of vision. The nurse should identify that these manifestations indicate which of the following eye disorders? A. Glaucome B. Retinal detachment C. Macular degeneration D. Cataracts

B. Retinal detachment

A nurse is caring for a client who has a reputation for being demanding with the nursing staff. The nurse says to the charge nurse, "I can't believe I have to care for this client again today!" Which of the following responses should the charge nurse make? A. "Someone has to care for him." B. "If you don't like your assignment, call the nurse manager." C. "You are upset about having this client assigned to you today." D. "Why don't you want to take care of this client?"

C. "You are upset about having this client assigned to you today."

A nurse is providing teaching to a client who has a new diagnosis of Meniere's disease. Which of the following instructions should the nurse include in the teaching? A. Avoid bearing down B. Increase caffeine intake C. Avoid sudden movements D. Increase sodium intake

C. Avoid sudden movements

A home health nurse is interviewing the adult child of a client who has Alzheimer's disease. The child is the client's role caregiver and reports feeling fatigued and overwhelmed. Which of the following referrals should the nurse make for the caregiver? A. Attorney B. Physical therapy C. Respite care D. Occupational therapy

C. Respite care

A home health nurse is interviewing the adult of a child of a client who has Alzheimer's disease. The child is the client's sole caregiver and reports feeling fatigued and overwhelmed. Which of the following referrals should the nurse make for the caregiver? A. Attorney B. Physical therapy C. Respite care D. Occupational therapy

C. Respite care

A nurse is teaching a client who has a new diagnosis of simple partial seizures about auras. Which of the following statements by the client indicates an understanding of the teaching? A. "An aura is a sensory warning that a seizure is imminent." B. "An aura is a continuous seizure in which seizures occur in rapid succession." C. "An aura is a period of sleepiness following the seizure." D. "An aura is a brief loss of consciousness accompanied by staring."

A. "An aura is a sensory warning that a seizure is imminent."

A nurse is providing teaching about degenerative complications to the partner of a client who has a new diagnosis of Parkinson's disease. Which of the following manifestations is the priority? A. Dysphagia B. Emotional lability C. Impaired speech D. Self-care dependency

A. Dysphagia

A nurse is caring for a client who has moderate Alzheimer's disease. Which of the following actions should the nurse take? A. Add gestures when speaking with the client B. Ask open-ended questions C. Limit visitors to 3 at a time D. Use different words if the client does not understand a statement

A. Add gestures when speaking with the client

A nurse is providing discharge teaching to a client who is postoperative following cataract surgery and has an intraocular lens implant. Which of the following statements by the client indicates an understanding of the instructions? A. "I will sleep on the affected side." B. "I will avoid bending over." C. "I will restrict caffeine in my diet." D. "I will take aspirin to relieve my pain."

B. "I will avoid bending over."

A nurse is providing discharge teaching to an older adult client about personal safety. Which of the following statements by the client indicates an understanding of the teaching? A. "I will have the steps to my house painted a dark color" B. "I will put a night-light in the hallway" C. "I will put on socks when I get out of bed" D. "I will secure any wires in my home under rugs"

B. "I will put a night-light in the hallway"

A nurse is assessing a client who has a new diagnosis of acute angle-closure glaucoma. The nurse should anticipate the client to report which of the following manifestations? A. Multiple floaters B. Flashes of light in front of the ye C. Severe eye pain D. Double vision

C. Severe eye pain

A nurse is providing teaching to a client who has a history of tonic-clonic seizures and is scheduled for a standard EEG. Which of the following instructions should the nurse include in the teaching? A. Remain NPO 6-8 hr prior to the EEG B. Take a sedative the night prior to the EEG C. Thoroughly shampoo her hair prior to the EEG D. Sleep for at least 8 hr during the night prior to the test

C. Thoroughly shampoo her hair prior to the EEG

A nurse is caring for a client who is experiencing a seizure while in bed. Which of the following actions should the nurse take? A. Raise the head of the clients bed B. Restrain the client's arms and legs C. Turn the client's head to the side D. Insert a tongue blade in the client's mouth

C. Turn the client's head to the side

A nurse is preparing to administer oral phenytoin to a client who has a seizure disorder. Before administering the medication, which of the following actions should the nurse take? A. Document the administration of the medication B. Count the amount of the available medication on hand and sign for it C. Measure the client's respiratory rate D. Check the medication dose and the client's identification

D. Check the medication dose and the client's identification

The nurse is caring for a client who has had repeated middle ear infections. The client reports that the provider said the infections are due to an obstruction of the structure that connects the middle ear to the throat. The nurse should identify that the provider was referring to which of the following structures? A. Oval window B. Auricle C. Tympanic membrane D. Eustachian tube

D. Eustachian tube

A nurse is teaching a class of new parents about otitis media. Which of the following manifestations should the nurse include in the teaching? A. High-pitched sound heard in the ear B. Intermittent rapid eye movement C. Itching of the external canal D. Feeling of fullness in the ear

D. Feeling of fullness in the ear

A nurse is providing teaching to the family of a client who has stage II Alzheimer's disease. Which of the following pieces of information should the nurse include in the teaching? A. Place abstract pictures on the wall in the client's room B. Provide music for the client using headphones C. Reorient the client to reality frequently D. Limit choices offered to the client

D. Limit choices offered to the client